RNSG 1341 Exam 1 study Sheet
MedSurg correctly answered to pass
What is the process for consenting to surgery by an emancipated minor? - correct
answer ✔✔An emancipated minor is one who is younger than the legal age of
consent but is recognized as having the legal capacity to provide consent.
Procedures for obtaining consent vary among states and agencies. Follow your
state's nurse practice act and agency policies that apply to a specific situation.
Where are the incisions with a laparoscopic cholecystectomy? - correct answer
✔✔- surgery will involve multiple small incisions
- A laparoscopic cholecystectomy is a surgery during which the doctor removes
your gallbladder. This procedure uses several small cuts instead of one large one.
A laparoscope, a narrow tube with a camera, is inserted through one incision. This
allows your doctor to see your gallbladder on a screen.
Which diagnostic studies may be done to reveal kidney disease? - correct answer
✔✔Assess for a history of renal or urinary tract diseases, such as chronic kidney
disease or repeated urinary tract infections. Record the present disease state and
current treatment.
What should the nurse do when it is discovered that s/he has seasonal and food
allergies? - correct answer ✔✔Record all drug intolerances and allergies and, if
needed, place an allergy identification band on the patient on the day of surgery.
If a preoperative patient reports being highly anxious about the upcoming surgery,
what is the best way to promote a good surgical outcome - correct answer ✔✔You
can decrease some anxiety for the patient by giving information about what to
,expect. This is often done through classes or Web-based or audiovisual teaching
materials before surgery. Inform the surgeon if the patient needs more
information or has excessive anxiety.
Effect of ginko before surgery - correct answer ✔✔Avoid garlic, vitamin E, ginkgo,
and fish oils because they can increase bleeding.
What will happen if the patient ingests a lot of liquids just before surgery? -
correct answer ✔✔Restricting fluids and food is designed to reduce the risk for
pulmonary aspiration and nausea and vomiting
Pre-op considerations for older adults? - correct answer ✔✔- requires careful
evaluation
- primary HCP is usually not the surgeon
- there are often several HCP involved in care
- be aware of anxieties and fears
- Assess and record baseline sensory and cognitive function
- may need more time to complete preoperative testing and understand
preoperative instructions. These changes also require you to pay more attention
to promote patient safety and prevent injury.
- When older adults live in a long-term care or assisted living facility, you may
need to coordinate transportation from these facilities so that timely arrival allows
for surgery preparation.
- A legal representative of the patient must be present to provide consent for
surgery if the patient cannot sign for himself or herself.
- Finally, determine the presence of or need for caregiver support for the older
adult undergoing surgery
, Why might extra time be needed for the prep care of an older adult? - correct
answer ✔✔In planning care, consider the patient's physiologic status, not only the
chronologic age. The surgical risk in the older adult relates to normal physiologic
aging and changes that compromise organ function, reduce reserve capacity, and
limit the body's ability to adapt to stress. This decreased ability to cope with
stress, often compounded by the burden of one or more chronic illnesses, and the
surgery itself increase the risk for complications.
What pre-op labs should cause concern? - correct answer ✔✔Ensure that all
laboratory and diagnostic reports are in the patient's chart. Missing reports may
result in a delay or cancellation of the surgery.
Why are pre-op checklists used the day of surgery? - correct answer ✔✔• Use a
preoperative checklist (Table 17.9) to make sure you have completed all required
preparations.
• This is especially important to do before the patient receives any sedating drugs.
Questions to ask related to risk for an allergic response? - correct answer ✔✔Ask
about nondrug allergies, specifically food and environmental (e.g., latex, pollen,
animals) allergies. The patient with a history of any allergic reactions has a greater
potential for hypersensitivity reactions to drugs given during anesthesia.
What should be done if the patient does not really understand what the surgeon
plans to do? - correct answer ✔✔If the patient is unclear about the surgical plans,
contact the surgeon about the patient's need for more information.
What does the nurse's signature on a consent form mean? - correct answer
✔✔You may be asked to witness the patient's signature on the consent form. At
this time, you must be a patient advocate, verifying that the patient understands
MedSurg correctly answered to pass
What is the process for consenting to surgery by an emancipated minor? - correct
answer ✔✔An emancipated minor is one who is younger than the legal age of
consent but is recognized as having the legal capacity to provide consent.
Procedures for obtaining consent vary among states and agencies. Follow your
state's nurse practice act and agency policies that apply to a specific situation.
Where are the incisions with a laparoscopic cholecystectomy? - correct answer
✔✔- surgery will involve multiple small incisions
- A laparoscopic cholecystectomy is a surgery during which the doctor removes
your gallbladder. This procedure uses several small cuts instead of one large one.
A laparoscope, a narrow tube with a camera, is inserted through one incision. This
allows your doctor to see your gallbladder on a screen.
Which diagnostic studies may be done to reveal kidney disease? - correct answer
✔✔Assess for a history of renal or urinary tract diseases, such as chronic kidney
disease or repeated urinary tract infections. Record the present disease state and
current treatment.
What should the nurse do when it is discovered that s/he has seasonal and food
allergies? - correct answer ✔✔Record all drug intolerances and allergies and, if
needed, place an allergy identification band on the patient on the day of surgery.
If a preoperative patient reports being highly anxious about the upcoming surgery,
what is the best way to promote a good surgical outcome - correct answer ✔✔You
can decrease some anxiety for the patient by giving information about what to
,expect. This is often done through classes or Web-based or audiovisual teaching
materials before surgery. Inform the surgeon if the patient needs more
information or has excessive anxiety.
Effect of ginko before surgery - correct answer ✔✔Avoid garlic, vitamin E, ginkgo,
and fish oils because they can increase bleeding.
What will happen if the patient ingests a lot of liquids just before surgery? -
correct answer ✔✔Restricting fluids and food is designed to reduce the risk for
pulmonary aspiration and nausea and vomiting
Pre-op considerations for older adults? - correct answer ✔✔- requires careful
evaluation
- primary HCP is usually not the surgeon
- there are often several HCP involved in care
- be aware of anxieties and fears
- Assess and record baseline sensory and cognitive function
- may need more time to complete preoperative testing and understand
preoperative instructions. These changes also require you to pay more attention
to promote patient safety and prevent injury.
- When older adults live in a long-term care or assisted living facility, you may
need to coordinate transportation from these facilities so that timely arrival allows
for surgery preparation.
- A legal representative of the patient must be present to provide consent for
surgery if the patient cannot sign for himself or herself.
- Finally, determine the presence of or need for caregiver support for the older
adult undergoing surgery
, Why might extra time be needed for the prep care of an older adult? - correct
answer ✔✔In planning care, consider the patient's physiologic status, not only the
chronologic age. The surgical risk in the older adult relates to normal physiologic
aging and changes that compromise organ function, reduce reserve capacity, and
limit the body's ability to adapt to stress. This decreased ability to cope with
stress, often compounded by the burden of one or more chronic illnesses, and the
surgery itself increase the risk for complications.
What pre-op labs should cause concern? - correct answer ✔✔Ensure that all
laboratory and diagnostic reports are in the patient's chart. Missing reports may
result in a delay or cancellation of the surgery.
Why are pre-op checklists used the day of surgery? - correct answer ✔✔• Use a
preoperative checklist (Table 17.9) to make sure you have completed all required
preparations.
• This is especially important to do before the patient receives any sedating drugs.
Questions to ask related to risk for an allergic response? - correct answer ✔✔Ask
about nondrug allergies, specifically food and environmental (e.g., latex, pollen,
animals) allergies. The patient with a history of any allergic reactions has a greater
potential for hypersensitivity reactions to drugs given during anesthesia.
What should be done if the patient does not really understand what the surgeon
plans to do? - correct answer ✔✔If the patient is unclear about the surgical plans,
contact the surgeon about the patient's need for more information.
What does the nurse's signature on a consent form mean? - correct answer
✔✔You may be asked to witness the patient's signature on the consent form. At
this time, you must be a patient advocate, verifying that the patient understands
